Indeed, 51 percent LGBTQ Americans say they have been sexually harassed or experienced violence because of their sexual identity, according to a recent survey, carried out on behalf of National Public Radio, the Robert Wood Johnson Foundation and Harvard T.H. Chan School of Public Health. This comes at a time when roughly 10 million people now identify as LGBT, according to a Gallup poll published earlier this year — an increase of almost two million more from four years prior in 2012.

Harassment often happens in the bathroom, with 34 percent of LGBTQ people saying that either they, or an LGBTQ friend or family member, have been verbally harassed in the bathroom, or been told that they were using the wrong bathroom altogether. (Incidentally, most Americans (51 percent) now say that transgender people should be “allowed to use the public restrooms of [the] gender with which they currently identify,” according to a Pew Research Poll from 2016.)

The harassement and violence can impact LGBTQ people’s health, with nearly one in five saying they have avoided going to a doctor or seeking medical care, “out of concern that they would be discriminated against or treated poorly because of their LGBTQ identity.” And, on top of that, 16 percent say they have been “personally discriminated against” when going to a doctor or health clinic, again on the basis of their sexuality.

“This report confirms the extraordinarily high levels of violence and harassment in LGBTQ people’s lives,” said Logan Casey, a research associate in public opinion at the Harvard T.H. Chan School of Public Health and deputy director of the survey.

“It also shows the serious barriers to health care for LGBTQ and especially transgender people in America,” Casey added in a statement.

But the harassment and discrimination that LGBTQ people face isn’t just medical or personal — the survey finds it spills over into the workplace and their professional lives, too.

When trying to rent a room or apartment or buy a home, 22 percent of LGBTQ people report having faced discminiation. The same number (22 percent) say that they have personally been victims of prejudice “when it comes to being paid equally or considered for a promotion” at work.

Some of the most harrowing numbers from this survey pertain to LGBTQ people of color. They are “twice as likely as white LGBTQ people to report anti-LGBTQ discrimination when applying for jobs and interacting with police and six times more likely to have avoided calling the police for fear of discrimination,” a summary of the survey results says.

Thirty-two percent of LGBTQ people of color say they’ve faced discrimination when applying for a job, as compared to just 13 percent of white LGBTQ individuals who say the same. Moreover, 24 percent of LGBTQ people or color report discrimination in dealing with police, versus just 11 percent of white LGBTQ people.

This leaves nearly one in three LGBTQ people of color feeling fearful to call the police “even when in need,” in order to avoid potentially unjust and unwarranted retaliation.